{"id":886,"date":"2022-07-12T12:12:17","date_gmt":"2022-07-12T10:12:17","guid":{"rendered":"https:\/\/urgentnimedicina.cz\/en\/?p=886"},"modified":"2022-07-12T12:14:22","modified_gmt":"2022-07-12T10:14:22","slug":"content-1-2022","status":"publish","type":"post","link":"https:\/\/urgentnimedicina.cz\/en\/?p=886","title":{"rendered":"Content 1\/2022"},"content":{"rendered":"<p><b>INTRODUCTION<\/b><\/p>\n<ul>\n<li>Contents<\/li>\n<li>Editorial \u2013 Jana \u0160eblov\u00e1<\/li>\n<\/ul>\n<p><b>EMERGENCY DEPARTMENTS<\/b><\/p>\n<ul>\n<li>Post mortem examination of sudden cardiac death cases: Czech experience and possible involvement of emergency medicine in multidisciplinary process \u2013 Alice Krebsov\u00e1, \u0160t\u011bp\u00e1nka Pohlov\u00e1 Ku\u010derov\u00e1<\/li>\n<\/ul>\n<p><b>PREHOSPITAL EMERGENCY CARE<\/b><\/p>\n<ul>\n<li>Broken heart syndrome in the prehospital care (a case report) \u2013 Jozef Kadle\u010d\u00edk, Viliam Dobi\u00e1\u0161<\/li>\n<\/ul>\n<p><b>PHYSIOLOGY AND EMERGENCY MEDICINE<\/b><\/p>\n<ul>\n<li>Clinical physiology of glycemia regulation, or what endocrine disorder we often leave the patient at home with \u2013 David Astapenko, Roman \u0160kulec<\/li>\n<\/ul>\n<p><b>EDUCATION<\/b><\/p>\n<ul>\n<li>How to pass the specialisation exam in emergency medicine? \u2013 Katar\u00edna Vesel\u00e1, Jana Kubalov\u00e1, Jana \u0160eblov\u00e1<\/li>\n<\/ul>\n<p><b>ETHICS, PSYCHOLOGY, LAW<\/b><\/p>\n<ul>\n<li>Preparedness of TCTV 112 dispatchers for crisis communication with persons with suicidal proclamation \u2013 Jaroslav R\u00e1\u017e, Dana Rebeka Ralbovsk\u00e1<\/li>\n<\/ul>\n<p><b>INFORMATION<\/b><\/p>\n<ul>\n<li>Rallye Rejv\u00edz 2022 \u2013 25th Year of the International Professional Exercise and Competition for EMS Teams \u2013 Katar\u00edna Vesel\u00e1<\/li>\n<li>Emergency Medicine Day 2022 \u2013 Jana \u0160eblov\u00e1<\/li>\n<\/ul>\n<p><span style=\"text-decoration: underline;\"><strong>ABSTRACTS<\/strong><\/span><br \/>\n<b>POST MORTEM EXAMINATION OF SUDDEN CARDIAC DEATH CASES: CZECH EXPERIENCE AND POSSIBLE INVOLVEMENT OF EMERGENCY MEDICINE IN MULTIDISCIPLINARY PROCESS<\/b><\/p>\n<p><b>Alice Krebsov\u00e1, \u0160t\u011bp\u00e1nka Pohlov\u00e1 Ku\u010derov\u00e1<\/b><\/p>\n<p>Sudden cardiac death (SCD) in individuals younger than 40 years has a heritable cause in a significant subset of cases. Identification of SCD, post mortem genetic analysis along with the cardiological screening in first degree relatives represents an important tool for the primary prevention of cardiac arrest in victim\u00b4s relatives and requires multicentric and multidisciplinary collaboration.<br \/>\nGiven that post-mortem examination is also recommended for individuals dying several hours to days after cardiac arrest. The role of emergency medicine is one of the key in identifying the possible hereditary cause of sudden cardiac death.<br \/>\nGenetic stratification and identification of a certain hereditary cause of sudden death is generally achieved in about 20 % of cases, however, in families with a positive history of sudden death or heart failure and \/ or malignant arrhythmias, genetic testing is successful in up to half of the families. In the Czech Republic, a grant project succeeded in establishing multidisciplinary and multicentre cooperation. The results of the first Czech pilot study in the period from 2016 to 2021 correspond to the results of international studies and underlines the interest of relatives and the benefits for their health. The construction of an effective cardiogenetic network for the detection and diagnosis of cases of sudden cardiac death in the Czech Republic is still ongoing and the involvement of emergency medicine physicians would be of great benefit in this kind of diagnostics.<\/p>\n<p><b>Key words: <\/b>sudden cardiac death \u2013 genetic analysis \u2013 inherited cardiovascular diseases \u2013family cascade screening \u2013 prevention<\/p>\n<p><b>BROKEN HEART SYNDROME IN THE PREHOSPITAL CARE (A CASE REPORT)<\/b><\/p>\n<p><b>Jozef Kadle\u010d\u00edk, Viliam Dobi\u00e1\u0161<\/b><\/p>\n<p>In 2020, the teams of emergency medical services in Slovakia were dispatched to 509,725 primary interventions. Chest pain is one of the most common reasons for dispatching emergency medical services. Due to facts mentioned above, it is very important, despite lack of diagnostic means, to evaluate the situation correctly, while examination is based mainly on case history and physical examination. Even if the primary evaluation of patient in prehospital medical care and differential diagnostics are right, some diagnoses remain unobtainable. Takotsubo syndrome, also called \u201cbrokenheart syndrome\u201d, is one of those we are unable to confirm. However, we can provide the patient adequate symptomatic care and transport him\/her to the appropriate medical facility. A case report with maybe incredible coincidence leading to possible fatal outcome in three patients is described in this paper.<\/p>\n<p><b>Key words: <\/b>Takotsubo syndrome \u2013 Takotsubo cardiomyopathy \u2013 choking \u2013 chest pain<\/p>\n<p><b>CLINICAL PHYSIOLOGY OF GLYCEMIA REGULATION, OR WHAT ENDOCRINE DISORDER WE OFTEN LEAVE THE PATIENT AT HOME WITH<\/b><\/p>\n<p><b>David Astapenko, Roman \u0160kulec<\/b><\/p>\n<p>The optimal concentration of glucose in the blood \u2013 glycemia is vital for many organs. The most important is the brain. Glycemia is affected by several hormones and cellular signaling molecules. Hypoglycemia is a potent stress factor for the body which is prevented by an acute regulatory and long\u2013term adaptation reaction. By rapidly changing hypoglycemia to hyperglycemia, we reverse the patient&#8217;s life-threatening condition, but reperfusion of the brain with glucose-rich blood has a somewhat even more negative effect on neurons. Treatment of hypoglycemia should be gradual and careful from this point of view.<br \/>\n<b>Key words: <\/b>hypoglycemia, insulin, glucose<\/p>\n<p><b>PREPAREDNESS OF TCTV 112 DISPATCHERS FOR CRISIS COMMUNICATION WITH PERSONS WITH SUICIDAL PROCLAMATION<\/b><\/p>\n<p><b>Jaroslav R\u00e1\u017e, Dana Rebeka Ralbovsk\u00e1<\/b><\/p>\n<p>This paper thesis is dedicated to the 112 emergency call centres problematics. They are part of the Fire Rescue Corps of the regions of the Czech Republic. The topic is focused on crisis communication with people with verbalized suicidal thoughts and on the problematics of its solution by emergency line dispatchers. The Introductory part defines the basic concept related to the position of emergency call centres within the Fire Rescue Corps and a description of the establishment of the 112-emergency line. The types of suicidal behaviour, its definitions, possible causes and possible solutions, including communication on the 112-emergency line, are also described. The practical part examines the extent of preparedness, personal experience and ways of perceiving by the dispatchers of the 112-emergency line in calls with a suicidal theme. The necessary data was collected using the anonymous non-standardized questionnaire form a survey and the obtained data are displayed through the form of graphs and tables after statistical analysis. This data, together with a comparison of the thesis of other authors, come with a discussion of the individual results.<br \/>\n<b>Key words: <\/b>emergency line \u2013 emergency dispatcher \u2013 suicidal behavior \u2013 suicide \u2013 telephone crisis intervention<\/p>\n","protected":false},"excerpt":{"rendered":"<p>INTRODUCTION Contents Editorial \u2013 Jana \u0160eblov\u00e1 EMERGENCY DEPARTMENTS Post mortem examination of sudden cardiac death cases: Czech experience and possible involvement of emergency medicine in multidisciplinary process \u2013 Alice Krebsov\u00e1, \u0160t\u011bp\u00e1nka Pohlov\u00e1 Ku\u010derov\u00e1 PREHOSPITAL EMERGENCY CARE Broken heart syndrome in<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21],"tags":[],"_links":{"self":[{"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=\/wp\/v2\/posts\/886"}],"collection":[{"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=886"}],"version-history":[{"count":1,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=\/wp\/v2\/posts\/886\/revisions"}],"predecessor-version":[{"id":888,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=\/wp\/v2\/posts\/886\/revisions\/888"}],"wp:attachment":[{"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=886"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=886"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urgentnimedicina.cz\/en\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=886"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}